PAUL W ELLIS Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****85

License Status

INOPERATIVE

Business

First Name

PAUL

Middle

Last Name

ELLIS

Business Name

PAUL W ELLIS

Original Issue Date

07/25/2002

Effective Date

02/05/2016

Expiration Date

03/01/2018

City

NAPERVILLE

State

Zip

60540

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/02/2018